Category Archives: Health Care Series

The Ghassan Abu Sittah Children’s Fund

Posted on by under General announcements, Health Care Series, Palestine

I hope readers will consider contributing to the Ghassan Abu Sittah Children’s Fund for Gaza (ht: Norman Finkelstein). My further hope is that opportunities will open up after the war, if we can allow ourselves that phrase, for health care-related work in Gaza.

Planning for THE DAY AFTER

This Fund is dedicated to the children of Gaza: providing medical attention to the children who need it the most, helping to rebuild & relieve the medical sector in Gaza, and, eventually, establishing a sponsorship program for the over 20,000 children orphaned in Palestine. Continue reading →

Go Fund Me for Hisham Awartani

Posted on by under General announcements, Health Care Series, Palestine

Below the fold is an Instagram post from Morgan Cooper, an American living in Ramallah these past two decades with her Palestinian husband and two children, and something of a rising star on Instagram. (Mashjar_juthour and handmadepalestine are the names of two of her business enterprises, the first an arboretum outside of Ramallah, the second a handicraft business.) I’m not sure the Instagram post will come out in its entirety, but it’s a plea from three weeks back for a GoFundMe for one of the college students shot in Vermont in late November, Hisham Awartani. The man pictured on the right of the photo is Hisham’s father, Ali. In Western nomenclature, he would be “Ali Awartani,” but in Palestinian nomenclature, he’s known as “Abu Hisham,” the father of Hisham.

The son has been rendered a paraplegic from the shooting, is paralyzed from the chest down, faces a long recovery, and naturally, can look forward to large medical bills. His current status is likely what we in medical billing parlance call “DNFB”: Discharged but Not Final Billed. The billers and coders are no doubt trying to calculate the bill, and the insurance companies are likely trying to figure out how to avoid paying it to whatever extent they can. The charges are probably astronomical, beyond anyone’s ability to pay. But every little bit will help.

The Go Fund Me link is: https://gofund.me/026fa8da

Continue reading →

Money Talks

Posted on by under Health Care Series

Before I started working in health care revenue cycle management, I might have doubted my right to contest this bill. But I now know better, and hope to put others in the same position.

bill

This is a bill for a fifteen minute telehealth session with a DO, a Doctor of Osteopathy. It doesn’t count the $30 co-pay I paid, or the payment for the prescription she wrote. And I’m not contesting the fee, contestable as it may be. What I’m contesting is Capital Health’s right to send me a bill at all, given that… Continue reading →

Failing the Empathy Exams

Posted on by under Health Care Series, Memorials and Obituaries, slices of life

The wounded woman gets called a stereotype and sometimes she is. But sometimes she’s just true.
–Leslie Jamison, “Grand Unified Theory of Female Pain,” The Empathy Exams*

On the day before New Year’s back in 2021, I found myself riding the train to work when, one stop after mine, a vaguely familiar woman got on. Or maybe I should say, struggled on. She was, I guess, in her sixties, heavy-set, apparently in pain, though not from any obvious cause, and was struggling with a shopping cart full of possessions. At first, in a reflexive reaction to the shopping cart, I took her to be a homeless person, but that turned out not to be the case. She clearly had trouble moving, and had trouble getting the cart onto the train. I half got up to help her, but not knowing how my gallantry would be received, sat back down and watched her struggle. It was rush hour, just before 8 am. Continue reading →

Harvest of Sorrow

Posted on by under Fatwas, Health Care Series

Christopher Hitchens tells the possibly (probably) apocryphal story of Robert Conquest, the historian: after writing a first book on the brutalities of Soviet socialism, The Great Terror: Stalin’s Purges of the 1930s, Conquest submitted a second as-yet untitled manuscript on Stalin’s program of forced collectivization.  Asked what he wanted to call it, he came up with the ungracious and yet apt title, I Told You So, You Fucking Fools. The book was, in the end, called The Harvest of Sorrow: Soviet Collectivization and the Terror Famine, followed by a third, Stalin: Breaker of Nations. 

I lack Robert Conquest’s erudition, productivity, or grace, but I do have one thing in common with him: I told you so, too–not about Stalin, but about “football,” i.e., American football, a bloodsport whose deceptions begin with its name. Continue reading →

Preferential Treatment in the ER?

Posted on by under Health Care Series

Today’s New York Times has a well-written, informative, and potentially explosive article, “How NYU’s Emergency Room Favors the Rich.” Here’s a summary, but read the whole thing for the full scoop:

In New York University’s busy Manhattan emergency department, Room 20 is special.

Steps away from the hospital’s ambulance bay, the room is outfitted with equipment to perform critical procedures or isolate those with highly infectious diseases.

Doctors say Room 20 is usually reserved for two types of patients: Those whose lives are on the line. And those who are V.I.P.s.

…

NYU Langone denies putting V.I.P.s first, but 33 medical workers told The New York Times that they had seen such patients receive preferential treatment in Room 20, one of the largest private spaces in the department. One doctor was surprised to find an orthopedic specialist in the room awaiting a senior hospital executive’s mother with hip pain. Another described an older hospital trustee who was taken to Room 20 when he was short of breath after exercising.

The privileged treatment is part of a broader pattern, a Times investigation found. For years, NYU’s emergency room in Manhattan has secretly given priority to donors, trustees, politicians, celebrities, and their friends and family, according to 45 medical workers, internal hospital records and other confidential documents reviewed by The Times.

Continue reading →

Bras, Breasts, Feminism, and Life Support

Posted on by under cancel culture, Health Care Series

Not long ago, while applying for hospital-based jobs, it occurred to me that I lacked a certification that I really ought to have, namely, Basic Life Support, or BLS. From the website of the American Red Cross:

Basic Life Support, or BLS, generally refers to the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress or an obstructed airway. It requires knowledge and skills in cardiopulmonary resuscitation (CPR), using automated external defibrillators (AED) and relieving airway obstructions in patients of every age.

So I signed up for a class in my area, and decided to certify. It was relatively cheap, conveniently located, and scheduled to take all of four hours. A bargain. Continue reading →

Life Imitates Art

Posted on by under Art/Literature, Health Care Series, Memorials and Obituaries

The 2002 film “John Q” begins with a scene in which a reckless driver dies, clearly at fault, in a horrific car wreck. Her organs, including her heart, are “harvested” or “recovered,” depending on your preferred choice of medical terminology, for purposes of organ donation. That organ recovery drives the plot of the rest of the film, which involves–somewhat heavy-handedly–the transplant of that very heart into a totally unrelated person dying of heart disease. In short, one person’s recklessness becomes her tragic demise; that tragedy becomes another person’s salvation.

Continue reading →

Markets, Uncertainty, and Health Care

Posted on by under Health Care Series, liberty and the left

After about a year and a half of working in health care, and at least some casual reading of the relevant literature, I’m increasingly skeptical that a libertarian free market can provide an adequate basis for the provision of health care. The longer I work in the field, the more convinced I become of the essential truth of Kenneth Arrow’s famous insight about the economics of health care: 

[T]he special economic problems of medical care can be explained by adaptations to uncertainty in the incidence of disease and in the efficacy of treatment (emphasis added).* 

Continue reading →